NPIMap

Meijer Stores Limited Partnership

Organization Active NPI Community/Retail Pharmacy · Franklin, IN

NPI 1144765900 · NPPES record last updated Mar 28, 2017

Key facts

NPI
1144765900
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
MEIJER STORES LIMITED PARTNERSHIP
Practice address
2390 N Morton St
Franklin, IN 46131-9737
Phone
(317) 346-9610
NPI assigned
Jan 3, 2017
Organization subpart
No

Authorized official

Name
Jason Beauch, R.PH
Title
VP of Pharmacy Merchandising
Phone
(616) 791-3169

Other NPIs on the same Medicare enrollment 42

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 42

Corporate family (same tax ID) 20

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2127475Meijer Pharmacy #295
2390 N Morton St, Franklin, IN 46131		Certificate of waiverMar 13, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Meijer Stores Limited Partnership
2390 N Morton St, Franklin, IN 46131-9737 · (317) 346-9610		 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers Accepts assignment
Participating since Nov 23, 2011

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111227000308 IN Part B Supplier - Mass Immunization (Roster Biller Only) 2062688971 42 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lafayette, IN; New Albany, IN; Muncie, IN; Mishawaka, IN; Michigan City, IN; Merrillville, IN; McCordsville, IN; Marion, IN…
O20170517003029 IN DME Supplier - Pharmacy 2062688971 Practice locations: Franklin, IN

National Provider Directory

Tax ID family
Meijer Stores LP (105 organizations share this tax ID)

Locations

2390 N Morton St
Franklin, IN 46131
Phone (317) 346-9610

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

2390 N Morton St
Franklin, IN 46131-9737

Mailing address

2929 Walker Ave NW
Attn: Managed Care Government Programs
Grand Rapids, MI 49544-6402
Phone (616) 791-3169

Other names

  • Meijer Pharmacy #295 Doing business as

Other providers in Franklin, IN

All providers in Franklin, IN · Community/Retail Pharmacy in Indiana

Sources for this page

Verify at the official NPI Registry.